在患有类风湿性关节炎的患者中,甲索酸与总甲状腺素的降低有关
Shu-Lin Chen1,2, Qiang Xu3,4, Chang-Song Lin5,6
1Department of Rheumatology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Inflammopharmacology
|July 26, 2023
概括
类风湿性关节炎 (RA) 治疗方法如甲状腺和葡萄糖皮质类药物可能会影响甲状腺功能. 在RA患者中,甲甲酸与降低总甲状腺素 (TT4) 相关,而葡萄糖皮质类药物与降低总三甲状腺素 (TT3) 相关.
科学领域:
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 类风湿性关节炎 (RA) 是一种慢性自身免疫性疾病,导致关节炎症和潜在的甲状腺功能障碍.
- RA 患者面临甲状腺问题的风险较高,可能受到治疗药物的影响.
研究的目的:
- 为了研究常见的类风湿性关节炎 (RA) 治疗药物和甲状腺功能之间的关系.
- 在RA患者中识别潜在的药物诱导的甲状腺变化.
主要方法:
- 这是一项涉及281名被诊断为RA的住院患者的横截面研究.
- 医疗记录的分析,包括人口统计数据,实验室结果和RA治疗.
- 使用斯皮尔曼相关性和逻辑回归分析来评估RA药物和甲状腺参数之间的关联.
主要成果:
- 甲托雷克萨特使用与较低的总甲状腺素 (TT4) 水平 (OR=0.067,P=0.015) 显著相关.
- 葡萄糖皮质类药物与三甲胺 (TT3) 总水平呈负相关性 (r=-0.153,P=0.010),但在多变量分析中并不显著.
结论:
- 在RA患者中,甲基和葡萄糖皮质类药物可能会对甲状腺激素水平 (分别为TT4和TT3) 产生不利影响.
- RA 药物可能导致二次甲状腺功能障碍,强调需要监测 RA 患者的甲状腺健康状况.
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